CODMAN SQUARE HEALTH CENTER INC
NPI 1396808309
Clinic/Center - Community Health in Dorchester Center, MA

Active since December 19, 2006
637 WASHINGTON ST, DORCHESTER CENTER, MA 02124(617) 825-9660(617) 288-7898 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2026, Dec 16, 2025, Feb 7, 2023 and 1 more (4 updates tracked since 2018).

About Codman Square Health Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODMAN SQUARE HEALTH CENTER INC (NPI 1396808309) is a healthcare organization registered as a community health in Dorchester Center, Massachusetts and active in the NPI registry since December 2006. The organization maintains 2 additional practice locations and lists Guy Fish, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1396808309
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCODMAN SQUARE HEALTH CENTER INC
Location Address637 WASHINGTON STDorchester Center, MA 02124-3510
Mailing Address637 Washington StDorchester, MA 02124-3510 · (617) 825-9660 · Fax (617) 288-7898
Fax(617) 288-7898
Organization SubpartNo
Authorized OfficialGuy FishChief Executive Officer · (617) 825-9660
Enumeration DateDecember 19, 2006
Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1396808309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
637 WASHINGTON ST, Dorchester Center, MA 02124

Secondary Practice Locations 2

Location 142 Highland AvenueRandolph, MA 02368-0000 · Phone (617) 825-9660
Location 29 Peacevale RdDorchester, MA 02124-4417 · Phone (617) 822-8744

Other Identifiers 2

Medicaid110022129FMA
Medicaid1211757MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Codman Square Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

91

Medicare enrollment records show 91 clinicians reassign Medicare billing to Codman Square Health Center Inc, which bills Medicare for the services they deliver. Of these, 43 practice at this address and 83 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner25
Family Practice19
Certified Nurse Midwife (CNM)8
Internal Medicine7
Optometry6
Clinical Social Worker4
Pediatric Medicine4
Psychiatry4
9 other specialties14

Nearest to this location (20)

See all 91
Nurse Practitioner
NPI 1689295750
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972393049
637 WASHINGTON ST
Boston, MA 02124
(161) 782-5966
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174290951
637 WASHINGTON STREET
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891253795
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992791883
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982033288
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1881199560
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1821817412
637 WASHINGTON ST
Boston, MA 02124
(617) 825-9660
✔ Accepts MedicareSame address
Internal Medicine
NPI 1134163462
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1790924249
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467394478
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOSSame address
Clinical Social Worker
NPI 1427409465
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235397506
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1922014364
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOSSame address
Pediatric Medicine
NPI 1285262089
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOSSame address
Emergency Medicine
NPI 1578552014
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1457888737
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1194759597
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1417334863
637 WASHINGTON ST
Dorchester, MA 02124
(617) 822-8271
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1639848047
637 WASHINGTON ST
Dorchester, MA 02124
(617) 825-9660
✔ Accepts MedicareSame address
See all 91 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codman Square Health Center Inc's NPI number?

The NPI number for Codman Square Health Center Inc is 1396808309. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Codman Square Health Center Inc located?

Codman Square Health Center Inc is located at 637 Washington St, Dorchester Center, MA 02124. The listed phone number is (617) 825-9660.

What is Codman Square Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Codman Square Health Center Inc enrolled in Medicare?

Yes. Codman Square Health Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Codman Square Health Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 91 clinicians in 17 Medicare specialties reassign their Medicare billing to Codman Square Health Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Family Practice (19) and Certified Nurse Midwife (CNM) (8). Of these, 43 practice at this address and 83 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Codman Square Health Center Inc accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Codman Square Health Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Codman Square Health Center Inc was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.